Organization Active NPI

Oakwood SNF LLC

  • Skilled Nursing Facility
  • Middle River, MD
National Provider Identifier
1174104376
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
OAKWOOD SNF LLC
Practice address
1300 Windlass Dr
Middle River, MD 21220-4126
Phone
(410) 687-1383
NPI assigned
Apr 19, 2021
Last updated
Apr 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Lieberman
Title
Director of Financial Operations
Phone
(646) 275-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1300 Windlass Dr
Middle River, MD 21220-4126

Mailing address

1007 Broadway
Woodmere, NY 11598-1246
Phone (516) 855-5504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106002049 MD Part A Provider - Skilled Nursing Facility 7315338050 Practice locations: Middle River, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174104376. Details of each certification follow.

Skilled nursing facility certification: CCN 215181

Legal name
OAKWOOD SNF LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 28, 1988
Last certification
Oct 21, 2024
Beds
130
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Feb 11, 2021 in MD
Enrollment address
1300 Windlass Dr
Middle River, MD 21220-4126
Nursing home name
OAKWOOD SNF LLC
Affiliated entity
HILL VALLEY HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oakwood SNF LLCCCN 215181 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 28, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130119.3 residents per day on average
Chain
Hill Valley Healthcare43 facilities in the chain
Penalties (3 years)
1Fines totaling $13,270

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0672583Oakwood SNF LLC1300 Windlass Drive, Baltimore, MD 21220Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sabrina 1818 Holdings LLC Organization, Woodmere, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 23.5%
Daniel a Gottesman Individual OtherTrustee of Saessy Irrevocable TR Jun 1, 2021 15.8%
Saessy Irrevocable Trust Organization, Cleveland, OH 5% Or Greater Indirect Ownership Interest Jun 1, 2021 23.1%
Oakwood Holdco LLC Organization, Miami, FL LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 1, 2021 100%
Moss M Ellenbogen Individual OtherTrustee of Gold, Silver and Coop Jun 1, 2021 45%
Copper MDDC Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Jun 1, 2021 10%
Gold MDDC Trust Organization, Miami, FL 5% Or Greater Indirect Ownership Interest Jun 1, 2021 17.5%
Steven a Schwartz Individual W-2 Managing EmployeeHome Office Administrator Jun 1, 2021
Robert Meisner Individual 5% Or Greater Indirect Ownership Interest Jun 1, 2021 5%
Meir Preis Individual W-2 Managing EmployeeAdministrator Jun 1, 2021 100%
Silver MDDC Trust Organization, Miami, FL Created for acquisition 5% Or Greater Indirect Ownership Interest Jun 1, 2021 17.5%
Heather Bennet-Idels Individual OtherTrustee of Tatriq Irrevocable TR Jun 1, 2021 15.8%
Erik Buckley Individual Corporate OfficerVice President Jun 1, 2021 100%
MDDC Noble Parentco LLC Organization, Miami, FL Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 50%
Tatiriq Irrevocable Trust Organization, Flushing, NY 5% Or Greater Indirect Ownership Interest Jun 1, 2021 23.1%
Lion 26 Holdings LLC Organization, Woodmere, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 23.5%
Hill Valley Healthcare LLC Organization, Woodmere, NY Created for acquisition, LLC, For-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2021 50%

Facilities with the same owner 47

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 47

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1174104376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981246",
            "telephone_number": "516-855-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WINDLASS DR",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212204126",
            "telephone_number": "410-687-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL  OPERATIONS",
        "authorized_official_telephone_number": "646-275-4510"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle River, MD

Sources for this page

Verify at the official NPI Registry.